HomeMy WebLinkAbout024-741-04-1105-LUP-2008-184 /�
Application for Land Use Permit(*Shoreland*) o 0
!`—'� County of Sawyer � X
PO Box 676 -Hayward WI 54843 .��
715/634-8288 0
*Property that is located within 300'of a creek,river or stream or within 1000'of a � �
flowage,lake or pond or has any of the above waterbodies located within �
the property's boundaries. � �
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED.
PRINT-USE BLACK INK OR PENCIL
�Sha�e� L��e�la�cC � wr � C �
�
Owner Builder p-
I I��fl W 6fu-1�f2d. '77 N' ��
s�
Mailing Address Mailing Address � � �
f-1�i�wa�d W= ��� �
City,State,Zip City,atate,Zip �
715-�{bZ3915 or 7�s��q9-a9a�p 3' �
Daytime Phone Daytime Phone �
Additional Information: Zone District: R R� C
Lot Dimensions: �
�
Date lot was created: Acres: a• ��� A
Is there wetland near the proposed structure?If yes,how faz �DO�1`� n �
0
Building Land Use Floodplain:O Yes (✓f No �
(�New O Filling Chippewa Flowage:O Yes ( No �
O Addition O Dredging Driveway access off of a(Check one): �
( )Alteration ( )Grading ( )Pxivate Rd ( )Town Rd. V�
( )Moving On ( ) ( )County Hwy (✓rState Hwy
0
� ) � ) .�CN �
Primary Structure Accessory Building Addition N o °
( )Dwelling (v�Garage-attached/detached ( )Deck .0�
( )Yeaz round ( )#of caz stalls (vrPorch o L�
( )Seasonal ( )Storage Building ( )Enclosed ��
O Frame built on site O Screenhouse O Living room o� Z
( )Modular/manufactured ( )Greenhouse ( )Kitchen �� Rl
( )Mobile/manufactured ( )Other ( )Bedroom a
( )Other primary structure ( ) ( )Relocate/enlarge o ..Nc
� � ( ) ( )#of new ; � Z
o � m
0
Additional Information: ° c A
1 s
� i �
C �
Type of Construction: d� �
�Frame ( )Log ( )Pole/metal ( )Block ( )Concrete
( )Other � ,�
Construction Cost:Primary Structure$ ,.d �
Accessory Building:$ �D D O U Addition:$ d s�U � �
�
Deed:Vol LY Pg Certified Soil Test# C,�-'�� � � z
CSM:Vol 2 2 Pg 20 Lot#oc ! Sanitary Permit# C� I -�� � �
bk/�Zl3 �� �
Plat Envelope Or: o�
Condo Vol Pg Yeaz Installed: N �
"Loads and Flows": Vol Pg Owner When Installed: �
�
Previous office approvals/actions: •
oi-� �
Vaziance:# LUP:# �l SP:# CUP:# �
Inspection Report:# Change of Zone District: 1'}�\
�
2Y7Y7
Describe the construction using these columns. List the dimensions of each structure in a separate �
column. List each story, each addition, each alteration in a separate column.
#1. �'-ara �c� #2. �o :� <� i� #3. #4.
Size � � ft. wide �_ ft. wide ft. wide ft. wide
3o ft. long ;;z C ft. long ft. long fr. long
Floor azea Oo sq. ft. sq. ft. sq. ft. sq. ft. �
Hgk from giade to peal< < � ft. hgt. ft. hgt. ft. hgt.
Stories ��� stories stories stories
# of bedrooms N A
,
� ,� i Lake/Pond/Flowa r.Biver/Stream ame �
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y�ouse
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Fire Number and Name of Road I � o�F�ut CSE. Rd. '77
1. Enter lot dimensions and indicate north by arrow. Signatura of 4wner or Authorized Agent:
2. Indicate the location and size of the requested construction ��� , �<
Signature
activities. <- r
PdntName:���- �"�"
3. l�ISO, 1rid1C&t0 [I10 IOCBtIOri 3rid d1St2I1C0 t0 T.110 W011, The a6ove certifes lhat the Ilsted informatlon and inlentlons are
true and correct., that all work shall be performed in compliance
Sept1C t2illt and dl31nf1eld, wetlaTld aTeas, lot 11nes, with the requirements of the Sawyer County Zoning Ordinance
and the laws and reclulations of the State of Wisconsin, and if
Cente111ne of�le ToaC� 211d wateYbodies. acting as owner(s) agent, has the permission oi the owner(s) to
perform the work requested on this applicalion. The above
, personsls hereby give permission for aaess lo the property for
'� `� ' , onsite inspection,
� r,
Permitfee: $ � � 5 0� ;`_ .
Total land area within 300' of the waterbody: (A) f�9�33 � (� 3 a�, 5 f �z '` 'F� ''� �%'J
Total impervious surface area [including this project] (B) y9oo
(B) / (A) x 100 = % Used 5.S � (Shall not exceed 15%[or 25% with a conditional use permit].)
Shoreline Vegetation Protection Area: Mitigation Required? ( ) Yes (� No
0,,.4� 9 2va �
Issue Date��-t Signature of Issui g gent
� Z v 50% Rule: Average Road Setback:
Expiration Dat
-, i � �,� �Q G3' , -. � t t. :, , : ,• : _ %< .
OfficeComments: ��,( �,l ' ,' � � i� �
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�60/3l2 NAS MIIEROUS ERFORS. IT I
---_ � YAS LOCATEO BT 9EST-F[T !1[T1q0
FOR NAPPING PIFtPUSES.
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sawyer Cou�A' 1 .
Recalvatl lor recortl Ifils��bey d �
�<'�� AD2041 at�o'clo�lc .
�M anC recorded���oi.�� � �
2893N0 �cernr a s� ys on aaea�iy-4-�AS
� ..4�. C l.�'w�Q.,
Regisler
�ONY
CER T I FI ED SUR VE Y MA P
A PART DF THE W 1/2 OF THE FRACTIONAL NE 1/4
OF THE NE 1/4, SECTION 4, TOWNSHIP 41 NORTH,
RANGE 7 yVEST, TOWN OF ROUND LAKE,
SAWYER COUNTY, WISCONSIN.
N88'20'26"W 2614.58' (2614.58') NE coa
1307.59' 653.65' n�uM4cna
653.64'
N 1/4 CDR COMP. —'—'—'—._'._ '_'__
SEC 4 40 COR —C�L
ALUM caa 50.01' �-- 66.13' STH 77
S87'26'59"E � � SO1 '?_2'23"W
(S87'26'59"E)
0 HWY ROW FROM
Q� ' OEEO V460 P311,312
R�W �—ROW
NOTE �
THIS OUTLOT plAS CREATED TD
BE ADOE� TO ADJOINING PARCEL ���exzsTZNc
TO THE EAST, BEING DEED V556 I flaivEwnv
P264, FOR SEPTZC FIELO �
PURPOSES. - �
THIS LAN� �IVISION IS EXEMPT �
FROM WIS�OT TRANS 233 OUT HSE H o
REVIEW IF THE FOLLOWZNG L OT 1 -�¢
FESTRICTION IS FOLLOWEO: 0.44 e' _�
THIS PARCEL CANNOT BE SOLD ACRES Q2 ¢w
SEPAFtATELY FROM A�JOINING 1g 113 �he6 0¢
PARCEL TO THE EAST, AS
NOTED ABOVE. SD FT o�.�,o =Q
~o
w cn o�-+ ,{�
m- c�� W ~� JY
SCALE �� m c� ow
N N Z U(I]
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a w-
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p60 z CJ Ql
LEGEND F,o�' � Q?�
�
e = GOVERNMENT CORNER � Kqm W w�w
�m� m mom
� = COMPUTED POSZTION ONLY
• = SET 3/4" X 24" REBAR $ag
WT 1.50 LBS/FT o"m
<��
( ) = FIECORDED AS ti�N
�un ( �y"_- -
��� l =\
`���SCONs��, /
��'M�CHAELC.�z %� �I� �, N88'20'27"W
- CLHMER . = 50.00'
= 5-2345 • _
; Spooner �
' �� w�� �
'�•�''D�unw�...•r`•
SHEET 1 OF 2
Certified Survey No. (D a(3 a O`{
SHORELAND PRES�RVATION AGREEMENT
(Shoreline Veeetation Protection Area)
Land Use Permit No. vPi-�h'v (To be entered by the Zoning Office) Index No. �.C� - �8y
WHEREAS, (list all owners) �'{1 C'k r�r �r��> e /a n cf
owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and
WHEREAS,in order to secure a Land Use Permit.
NOW, THEREFORE, the owncr(s) hereby certifies that, as a condition of issue of said Laud Use Permit, that
the SHORELINE VEGETATION PROT�CTION AREA on said ceal estate is intact to a minimum depth of
35' landwazd&om the ordinary high-water mark of the waterbody.
The owner(s) hereby agrees to comply with the shoreland vegetative protection azea requirements of Section
4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on
the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized
representatives of the Governmental Unit to enter onto the owner's property at the following description
between the hours of 8:00 A.M. and 6:00 P.M. [Section 9.13(1) POWERS, Sawyer County Zoning Ordinance]
to inspect the struchue(s) or uses authorized by said Land Use Permit and to determine if the SHORELINE
VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate
on the date of expiration of the land use permit. However,the owner's obligation to maintain the SHORELINE
VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION
PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will
� authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance,
� injunctive relief, restoration of said real estate, the revocation of said Land Use Pernut and the removal of all
� structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the
issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County
`� Zoning Office.
� Legal Description of Property: �o� / a � CS/r7 (/a/ 2Z fa 20 y ,�a✓� NE NE , S oe �/, %`//��
� 2 7lJ � To�n o�- 2u�r.r Lc�ke i Sawuar �ounEu WL
Oz�l- 7�I/- ON- //6S
� Dated thi� -�-C?� day of
� vi-� �l
�
� (Owner) (Owner)
�
� (Owner) (Owner)
(Owner) (Owner)
This instrument was drafted by:
Sa�ryer County Zoning Oft'ice �
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